相互作用
Fluconazole + Selumetinib
重症度: 重大
Fluconazole and Selumetinib: major interaction.
最終更新日
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概要
Fluconazole can raise selumetinib levels, increasing risks such as gastrointestinal toxicity, rash, and cardiomyopathy. Selumetinib is metabolized mainly by CYP3A4.
この相互作用をわかりやすく説明すると
Fluconazole and Selumetinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Fluconazole belongs to Anti Fungals; Selumetinib belongs to Oncology.
なぜ起こるのか
Fluconazole inhibits CYP3A4 metabolism of selumetinib.
対処法
Avoid if possible; if unavoidable, reduce the selumetinib dose per labeling and monitor for adverse effects. Resume the prior dose after the inhibitor has been stopped for about three half-lives.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、FluconazoleとSelumetinibの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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Fluconazoleのその他の相互作用
Selumetinibのその他の相互作用
よくある質問
Can I take Fluconazole with Selumetinib?
MediHelp rates the interaction as major. Fluconazole and Selumetinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Fluconazole can raise selumetinib levels, increasing risks such as gastrointestinal toxicity, rash, and cardiomyopathy. Selumetinib is metabolized mainly by CYP3A4.
How serious is the interaction between Fluconazole and Selumetinib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible; if unavoidable, reduce the selumetinib dose per labeling and monitor for adverse effects. Resume the prior dose after the inhibitor has been stopped for about three half-lives.
What other medicines interact with Fluconazole?
MediHelp also lists interactions of Fluconazole with, for example, Dihydroergotamine intranasal, Dihydroergotamine, Dofetilide. The full list is on the Fluconazole page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
